I have pure o ocd, and I’m filling out my heirarchy but I’m struggling to understand triggers and therefore exposures. I generally just get thoughts for no reason, particularly when my mind is idle I just start scanning for potential worries, and there aren’t any specific triggers like with contamination ocd. When I have a specific worry, it just pops up - and although my compulsions are clear (rationalising, reassurance seeking). How do you build out triggers and exposures in this case? Do I need to just think about the worry without doing the compulsion?

Hello, I was diagnosed with autism and ADHD at 25 years old. I attributed my overthinking to autism but I realised a few months ago that Pure O OCD is the most meaningful explanation for it. I am also an asexual, so I am, simply put, a shitshow of symptoms. I constantly review the past - particularly painful memories. I have a consistent fear of getting cancelled. When I was 18, some YouTubers I followed got accused of sexual misconduct and cancelled. I was obsessed and concerned for them. Others found my obsession strange. I did not like how their lives were ruined over accusation and no trial. (I was naive then to why public accusations are happening, as it is because the legal system often fails to address predatory men.) Even 6 years later, I googled one of them 240 times between January 2020 and April 2020. It was plain obsessive. When I burned bridges, I continued to search the people involved in my past dramas. Often multiple times in the same day with nothing new to see. They would likely be scared if they knew how obsessed I was with them. I have started doing ERP exercises. I wrote a script where I receive public false allegations and my life is ruined. It is forever googleable and I am a complete pariah. Completely unemployable, unliveable, even my family abandons me. I listen to it for 15 minutes on loop per day. What else would you recommend to tackle the ruminating? I wish I had this information at 18. I should have been solving these issues then and enjoying my life, not figuring it all out so much later in life.

My NOCD therapist (who has been awesome) and I are both struggling to identify ways in which I can practice exposure therapy while in-session, because the vast majority of my OCD symptoms are mental compulsions. For example: indecision and inability to commit to a choice; seeking reassurance on decisions from friends and family; mental review of things that have just happened / social situations; over-thinking and catastrophizing. I also have some other hallmark symptoms (contamination fears, moral scrupulosity, etc) but those tend to be inconsistent too. It’s hard to really practice these during my sessions because so many are in the moment and fleeting. By the time I join my session they are no longer active. How can we establish exposure responses during my sessions, if most of my OCD involves mental rumination and overthinking patterns/thought loops that only occur “in the moments - rather than specific or consistent compulsions (such as hand washing)?

Hey everyone. Just watched a YouTube clip from NOCD and it became clear that ERP appears to be best when your ocd is centered around a theme. Ie germs etc. one thing, not many things The struggle with pure O is that it’s not just one thing, it can be ALL things Is there hope for pure O with ERP ? Love to hear the group’s thoughts